1880 Deer Hills Tr - COCCity of Ea all
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
Pr operty Address:
City of Eagan, Minnesota
w 'Oe-ev
4 City of Eagan
COMPLIANCE WITH IN €IIAL INSPECTION
90 is to certify that the property listed above has been inspected by authorized City personnel on ' , 201
and found to be in compliance with Section 3.40 of the City Code and no corrective work was required
COMPLIAiNCE AFTER CORRECTIVE WORK PERFORMED
U This is to certify that the property listed above has been found to be in compliance with Section 3.40 of the City Code
after satisfactorily completing the requited conective repair work under (check all that apply):
fl City Sanitary Sewer Permit City Plumbing Permit
NOTE.. Applicable only if box is checked, OBased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to minimize a potential blockage due to
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other
City Approved:
Print name
White Copy: Property Owner
_ \AILJ,JbLIS4D (-/-.16/a46t(
Signature Date
Yellow Copy: City of Eagan (Parcel F ile)
rev 2.23 2010